Individual
ALEXANDER MARIO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST, PAYSON 2, NEW YORK, NY 10065-4870
(212) 746-7000
(646) 697-0029
Mailing address
525 E 68TH STREET, PAYSON 2, NEW YORK, NY 10065-4870
(212) 746-7000
(646) 697-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
321724
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
321724
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
321724
NY
Other
Enumeration date
03/27/2020
Last updated
11/05/2025
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